{"created":"2023-07-27T06:30:58.108493+00:00","id":16205,"links":{},"metadata":{"_buckets":{"deposit":"8a606fe7-225c-49a7-a928-1d2716e55bd6"},"_deposit":{"created_by":3,"id":"16205","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"16205"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00016205","sets":["1132:1137:1223:1238"]},"author_link":["316","29854","1930","46"],"item_7_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-12-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicVolumeNumber":"33","bibliographic_titles":[{"bibliographic_title":"金沢大学つるま保健学会誌 = Journal of the Tsuruma Health Science Society Kanazawa University"}]}]},"item_7_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"The present study was designed to identify factors likely to elevate the incidence of walking dependence upon discharge of elderly patients from a hospital where they received treatment of acute internal disease. The study involved 68 patients aged 65　and over who had been able to walk unassisted before hospitalization. 　These patients were divided into the groups of walking dependence (patients unable to walk) and the groups of walking independence (patients able to walk unassisted) at the discharge period. The author analyzed using a model of multiple logistic regression analysis with a category framework involving 10 variables. 　Results were as follows : 1) The author picked out 4 factors, i.e. \"period of bedredden status\", \"period of symptoms\", \"period of hospital stay\" and \"period of physical immobilization\". 2) It shown that the risk of walking dependence became higher as the period of each of these variables increased by another day. 3) Using this analysis, the author could suppose the walking dependence at discharge period in 54% of the patients. It is therefore desirable that patients at elevated risk for walking dependence are identified by evaluation of these four factors and to provide active support to these patients so as to shorten the period of these four factors as soon as possible during the hospital stay.本研究の目的は、内科の急性疾患で入院した高齢患者の退院時の歩行能力低下にどのような要因が関与しているかを後ろ向き調査から検討した。対象は、入院前、自ら歩行可能であった６５歳以上の患者６８名である。退院時に自立した歩行が不可の患者を歩行能力低下群、自立した歩行が可能の患者を歩行自立群とした。要因の検討には、１０変数からなる概念枠組みから多重ロジスティック回帰分析を用いモデル化した。結果、１）「ベッド上生活日数」、「症状持続日数」、「在院日数」、「身体拘束日数」の４因子が抽出された。２）各変数の日数が１日増すごとに危険率が高まることが示された。３）４つの要因の検討から、退院時に歩行能力を低下させる高齢患者の５４％を予測できることが説明された。以上を通して退院時に歩行能力低下をさせないためには、４つの要因からリスクの高い患者を予測し、早期にこれらの日数を減らす援助を入院時より意図的に実践することが必要であると示唆された。","subitem_description_type":"Abstract"}]},"item_7_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"金沢大学つるま保健学会 = the Tsuruma Health Science Society, Kanazawa University"}]},"item_7_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA11599711","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-8502","subitem_source_identifier_type":"ISSN"}]},"item_7_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"湯野, 智香子"}],"nameIdentifiers":[{"nameIdentifier":"29854","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"泉, キヨ子"}],"nameIdentifiers":[{"nameIdentifier":"1930","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"20115207","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=20115207"}]},{"creatorNames":[{"creatorName":"平松, 知子"}],"nameIdentifiers":[{"nameIdentifier":"46","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"70228815","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=70228815"},{"nameIdentifier":"70228815","nameIdentifierScheme":"研究者番号","nameIdentifierURI":"https://nrid.nii.ac.jp/nrid/1000070228815"}]},{"creatorNames":[{"creatorName":"井上, 克己"}],"nameIdentifiers":[{"nameIdentifier":"316","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"00176421","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=00176421"},{"nameIdentifier":"00176421","nameIdentifierScheme":"研究者番号","nameIdentifierURI":"https://nrid.nii.ac.jp/nrid/1000000176421"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-10-04"}],"displaytype":"detail","filename":"AA11599711-33-2-81.pdf","filesize":[{"value":"25.9 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AA11599711-33-2-81.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/16205/files/AA11599711-33-2-81.pdf"},"version_id":"5d644ed0-4213-4bf2-be6e-e7513db512a9"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"acute care","subitem_subject_scheme":"Other"},{"subitem_subject":"internal disease","subitem_subject_scheme":"Other"},{"subitem_subject":"elderly patient","subitem_subject_scheme":"Other"},{"subitem_subject":"discharge","subitem_subject_scheme":"Other"},{"subitem_subject":"walking dependence","subitem_subject_scheme":"Other"},{"subitem_subject":"factors","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"急性期病院における内科疾患を有する高齢患者の退院時の歩行能力低下に影響する要因","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"急性期病院における内科疾患を有する高齢患者の退院時の歩行能力低下に影響する要因"},{"subitem_title":"Factors Responsible for Walking Dependence of Elderly Patients with Internal Disease upon Discharge from Acute Care Hospitals","subitem_title_language":"en"}]},"item_type_id":"7","owner":"3","path":["1238"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-10-04"},"publish_date":"2017-10-04","publish_status":"0","recid":"16205","relation_version_is_last":true,"title":["急性期病院における内科疾患を有する高齢患者の退院時の歩行能力低下に影響する要因"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-07-27T15:06:16.876566+00:00"}